It is a pre-cancerous condition of the skin (High grade squamous intraepithelial lesion). An AI is an aromatase inhibitor I have taken for a year and a half after surgery, chemo and radiation for breast cancer. The vaginal dryness that these estrogen stoppers cause can be extreme, so that's what I thought it was. I pushed my primary care for a gynecological consult where I was taken seriously and received a biopsy; recently got the results. I'll see the doc Monday to discuss next steps. They'll want to remove the lesion I'm quite sure. This whole thing of no gyn and/or pap smears after age 65 is crazy. Had I been examined regularly this never would have happened (p.s. Estrogren creams wouldn't be an option because I had ER positive breast cancer).